지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 557 - 562 (6page)
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초록· 키워드
오류제보하기
Background: Severity grading is important for the assessment of psoriasis treatment efficacy. This is most commonly achieved by using the psoriasis area and severity index (PASI), a subjective tool with inherent inter-rater and intra-rater variability. PASI-naive dermatologists require training to properly conduct a PASI assessment. Objective: In the present study, we aimed to investigate whether photographic training improves inter-rater and intra-rater variabilities. We also determined which PASI component has the greatest impact on variability. Methods: Twenty-one dermatologists received 1 hour of PASI training. They were tested before and after the training to evaluate intra-rater variability. The physicians were further tested after training by using a reference photograph. Results: The mean of each PASI component was underevaluated compared with scoring by a PASI expert.
The concordance rate with the expert’s grading was highest for thickness followed by erythema, scaling, and area. The scaling score showed the greatest improvement after training. After training, the distribution of deviation from the expert’s grading, which signifies inter-rater variability, improved only for the PASI area component. The deviation of scaling grading improved upon retesting by using a reference photograph. Conclusion: PASI assessment training improved variabilities to some degree but not for every PASI component.
The development of an objective psoriasis severity assessment tool will help overcome the subjective variabilities in PASI assessment, which can never be completely eliminated via training.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Armstrong AW / 2013 / Standardizing training for psoriasis measures: effectiveness of an online training video on Psoriasis Area and Severity Index assessment by physician an
Choi JW / 2013 / Objective measurements of erythema, elasticity and scale could overcome the inter- and intra-observer variations of subjective evaluations for psoriasis seve
Choi JW / 2015 / One device, one equation: the simplest way to objectively evaluate psoriasis severity / J Dermatol 42 : 154 ~ 158
Faria JR / 2010 / Inter-rater concordance study of the PASI (Psoriasis Area and Severity Index) / An Bras Dermatol 85 : 625 ~ 629
Gelfand JM / 2005 / Prevalence and treatment of psoriasis in the United Kingdom: a population-based study / Arch Dermatol 141 : 1537 ~ 1541
Choi JW / 2013 / Objective measurements of erythema, elasticity and scale could overcome the inter- and intra-observer variations of subjective evaluations for psoriasis seve
Choi JW / 2015 / One device, one equation: the simplest way to objectively evaluate psoriasis severity / J Dermatol 42 : 154 ~ 158
Faria JR / 2010 / Inter-rater concordance study of the PASI (Psoriasis Area and Severity Index) / An Bras Dermatol 85 : 625 ~ 629
Gelfand JM / 2005 / Prevalence and treatment of psoriasis in the United Kingdom: a population-based study / Arch Dermatol 141 : 1537 ~ 1541
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